Active NPI
Frayda Waxman
- Speech-Language Pathologist
- Lakewood, NJ
National Provider Identifier
1245749134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00874800
- Practice address
- 295 Dewey Ave
Lakewood, NJ 08701-3567 - Phone
- (732) 370-7885
- NPI assigned
- Sep 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00874800 | NJ | Primary |
Addresses
Primary practice location
295 Dewey Ave
Lakewood, NJ 08701-3567
Mailing address
295 Dewey Ave
Lakewood, NJ 08701-3567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00874800 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Up Ft | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506211200000",
"number": "1245749134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 DEWEY AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 DEWEY AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013567",
"telephone_number": "732-370-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXMAN",
"first_name": "FRAYDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-24",
"last_updated": "2017-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00874800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.